Clinical Safety Research Unit, Department of Surgery and Cancer, QEQM, St. Mary's Hospital, London, UK.
J Eval Clin Pract. 2012 Aug;18(4):848-53. doi: 10.1111/j.1365-2753.2011.01688.x. Epub 2011 Jun 15.
RATIONALE, AIMS AND OBJECTIVES: Patients can play an important role in reducing health care harm. Finding strategies to encourage patients to take on an active role in issues related to the quality and safety of their care is therefore essential. The aim of this study was to examine patients' and health care professionals' attitudes towards a video aimed at promoting patient involvement in safety-related behaviours.
A within-subjects design was used where participants were required to complete a questionnaire pre and post screening of a patient safety video. Participants are 201 patients aged 19-103 years (mean 52) and 95 health care professionals aged 23-48 years (mean 32). Main outcome measures include (i) patients' willingness to participate and perceived importance in participating in safety-related behaviours; and (ii) health care professionals' willingness to support patient involvement.
After watching the video patients elicited more positive attitudes towards asking doctors and nurses if they had washed their hands and notifying them about issues to do with personal hygiene. No significant effects were observed in relation to patients notifying staff if they have not received their medication or if they were in pain or feeling unwell. In relation to health care professionals, doctors and nurses were more willing to support patient involvement in asking about hand hygiene after they had watched the video.
Video may be effective at changing patients' and health care professionals' attitudes towards patient involvement in some, but not all safety-related behaviours. Our findings suggest video may be most effective at encouraging involvement in behaviours patients are less inclined to participate in and health care professionals are less willing to support.
背景、目的和目标：患者在减少医疗保健伤害方面可以发挥重要作用。因此，寻找鼓励患者在与其护理质量和安全相关的问题上发挥积极作用的策略至关重要。本研究的目的是调查患者和医疗保健专业人员对旨在促进患者参与与安全相关行为的视频的态度。
采用了受试者内设计，要求参与者在观看患者安全视频前后完成一份问卷。参与者包括 201 名年龄在 19-103 岁之间（平均年龄 52 岁）的患者和 95 名年龄在 23-48 岁之间（平均年龄 32 岁）的医疗保健专业人员。主要的测量指标包括：（i）患者参与安全相关行为的意愿和感知重要性；（ii）医疗保健专业人员支持患者参与的意愿。
观看视频后，患者对询问医生和护士是否已洗手以及通知他们与个人卫生有关的问题表现出更积极的态度。在患者未收到药物或感到疼痛、不适时通知工作人员方面，未观察到显著效果。在医疗保健专业人员方面，医生和护士在观看视频后更愿意支持患者参与询问手卫生情况。
视频可能有效地改变患者和医疗保健专业人员对患者参与某些但不是所有与安全相关行为的态度。我们的研究结果表明，视频可能在鼓励患者参与他们不太愿意参与且医疗保健专业人员不太愿意支持的行为方面最有效。
